Current calendar of preventive vaccinations. Preventive vaccinations - meaning, list, plan and technique

Rubella, hemophilus influenzae and. It is from them that the baby is vaccinated in the first year of his life, and they begin to do this right in the maternity hospital.

Vaccinations

Routine immunization of children is carried out in all regions of the country according to the schedule of the National Calendar of Preventive Vaccinations. The timing and schedule for administering vaccines are clearly defined based on the child’s age, the risk of morbidity and the speed of development of immunity.

important The compulsory vaccination plan for children includes only those infections that can actively and massively spread and have severe clinical course and are often complicated (even death is possible).

Children's age Name of vaccination Note
First 24 hours of lifeFirstGenetically engineered vaccine
3-7 days of lifeVaccination against tuberculosis ()For premature babies, vaccinations are delayed until later. late date or vaccinated with a “weakened” BCG-M vaccine
1 monthSecond vaccination against viral hepatitis IN
3 monthsFirst (DPT 1)First (IPV 1)*FirstIPV 1 - inactivated vaccine
4.5 monthsSecond vaccination against whooping cough, diphtheria, tetanus (DPT2)Second vaccination against polio (IPV2)Second vaccination against Haemophilus influenzae
6 monthsThird vaccination against whooping cough, diphtheria, tetanus (DPT3) Third vaccination against polio (IPV3) Third vaccination against viral hepatitis B Third vaccination against Haemophilus influenzae
12 months (1 year)(CPC)
18 months (1.5 years)First revaccination against whooping cough, diphtheria, tetanusFirst revaccination against polio (OPV1) Revaccination against Haemophilus influenzaeOPV 1 - live vaccine
20 monthsSecond revaccination against polio (OPV 2)
6 yearsRevaccination against measles, rubella, mumps (MMR)
7 yearsRevaccination against tuberculosisSecond revaccination against diphtheria, tetanus ()Revaccination against tuberculosis is carried out for children who are not infected with Mycobacterium tuberculosis and have a negative
12-13 years oldVaccination against rubella*Vaccination against hepatitis B***carried out only to girls who have not previously been vaccinated or who have received only one vaccination **carried out to all previously unvaccinated girls according to the 0-1-2-12 month schedule
14 yearsThird vaccination against diphtheria, tetanus (ADS-m) Revaccination against tuberculosis Third revaccination against polio

additionally Children from 6 months of age can be vaccinated against influenza annually during epidemics.

Since 2014, another free one has been added to the national child vaccination calendar. Pneumococcal infection, according to WHO, is recognized as the leading cause of morbidity and mortality among children under one year of age. Thus, the list of mandatory vaccinations will include vaccination from the 12 most dangerous diseases.

In addition to the provided state program vaccinations for children under one year of age who are at risk, V voluntarily Can you be vaccinated against hepatitis A? chickenpox and meningococcal infection.

At the age of 12-13, girls who are at risk for developing cervical cancer, acute and chronic infections caused by the human papillomavirus, vaccination against the papillomavirus is carried out in accordance with the instructions for the use of vaccines.

What is vaccination?

In the child’s vaccination calendar, there are two terms “vaccination” and “re-vaccination”: what do they mean?

Vaccination– this is the primary injection (or several primary injections) into the human body of vaccines (antigenic substances) that can ensure the formation of basic immunity to a specific disease. For example, to form basic immunity against diphtheria, three doses of anti-diphtheria toxoid are required.

Revaccination– repeated administration of the vaccine, contributing to the maintenance (extension and consolidation) of previously formed basic immunity.

information Vaccines are an antigenic substance represented by live, weakened, dead pathogenic microorganisms or their parts, which human body produces an immune response (antibodies).

Antibodies (AT) long time circulate in the blood, forming immune memory. This means that when a microorganism enters a person’s body, his immune system is ready to immediately fight back. The body does not need time to form AT - the disease does not develop.

Should children be vaccinated?

If you want to protect your baby from infections, then the answer is "Yes". Of course, if the woman was protected from all infections (note that in most cases this was done by vaccinating her at early age), then through the placenta it will transfer some of the specific antibodies to the fetus. They are able to protect the child from dangerous infections in the first months of his life.

It is believed that children under 3 months never suffer from childhood infectious diseases. But then the ATs begin to collapse. Antibodies to diphtheria and tetanus are destroyed first (at 3-5 months), which is why a child is vaccinated against these diseases at 3 months.

Possible complications

important Unfortunately, no one can give a 100% guarantee that a child will endure vaccination, but the risk of complications from vaccination is minimized, which has been proven by many years of use.

Like all medical supplies, vaccines may have side effects. Basic:

  • allergic reactions(, Quincke's edema, anaphylactic shock);
  • temperature reactions;
  • neurological complications;
  • local reactions (redness, abscess at the injection site);
  • damage to the lungs and tonsils, etc.

Of course, no parent wants to risk the health of their child. However, the outcome of this event often depends on the vigilance of parents. They must clearly understand what cannot be done on the eve of vaccination and when it cannot be carried out.

  • For any vaccination there is an indisputable rule: the child must be healthy at the time of vaccination. Moreover, if the baby was sick, then at least two weeks should pass after recovery.
  • If the child is absolutely healthy, but someone in the household is sick, then it is better to postpone vaccination.
  • Two to three days before and after vaccination, it is necessary to limit the child’s contact with big amount of people.
  • Vaccinations that cause a temperature reaction (for example,) are best carried out against the background of antiallergic drugs, starting to give them 2-3 days before the vaccination.
  • On the eve of vaccination, do not overfeed your child with new foods, since unknown food components will create an even greater burden on the body.
  • Before vaccination, be sure to see a doctor. He must assess the condition of the baby and give permission for vaccination.

After vaccination, you must be under supervision for at least half an hour medical personnel. This is necessary so that they can assess the body’s response to the vaccine and, if necessary, provide emergency assistance.

information At home, it will be useful for your child to sleep after vaccination: during sleep, the immune system is better mobilized. You cannot bathe your baby on this day.

Conclusion

The vaccination schedule for each child is compiled individually. Remember that the intervals between vaccine administrations cannot be shortened, but can be increased according to indications. There is no need to rush to get vaccinated if you have doubts about the child’s health – this will protect him and keep the parents calm.

Young children are more susceptible to diseases. From the first months of a baby’s life, everyone adapts internal organs and systems to new conditions. The immune system is just beginning to develop and cannot protect the body from the effects of pathogenic viruses and microorganisms.

The environment contains many pathogens of severe infectious pathologies, which can not only undermine health but also long years, but also lead to death. To protect a child from potential infection, it is necessary to undergo routine immunization in accordance with the vaccination schedule.

Carrying out routine vaccination helps prevent the occurrence of serious diseases

How is the vaccination schedule for children compiled?

The vaccination calendar is approved by the Ministry of Health. Every year, a council of specialists, which consists of the country’s chief doctors, does a lot of work to adjust the vaccination plan.

Taking into account the epidemiological situation, the time frame for immunization is being revised. If necessary, changes are made to the list of permitted injection solutions (vaccines). In 2017, new important vaccinations were added (for example, against viral hepatitis).

The Russian national vaccination calendar has been compiled to increase the effectiveness and safety of vaccination. Based on this, it is recommended to immunize the youngest age group population, since babies are more at risk of infection, and weak immunity is not able to protect the growing body properly.

In all medical institutions vaccination is carried out according to the approved schedule, this procedure is free and voluntary. To complete it you only need written agreement parents.

Vaccinations by age

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The bulk of vaccinations are performed on children under the age of one and a half years; immunization begins from the first month of birth. Vaccination is the introduction of weakened bacteria, after which the production of immunoglobulin antibodies to the pathology of which they are the causative agents begins.

Vaccination will protect your child from infection by 90%; if infected, the disease will progress in mild form. Risk of complications ( death, disability) is reduced to zero. Today in Russia, children under 14 years of age are vaccinated against many diseases:

  • Tuberculosis is an infection bacterial etiology, the lesion is usually localized in the lungs and spreads to all internal systems.
  • Diphtheria is a severe infectious pathology that affects the central nervous system, adrenal glands, lungs, trachea, and heart muscle.
  • Whooping cough is an infection main feature- paroxysmal cough.
  • Viral hepatitis B - the disease affects the liver, and later becomes a permanent form, in which cirrhosis of the organ develops.
  • Tetanus – with this infection the central nervous system is affected, the patient often experiences convulsions and suffocation.
  • Poliomyelitis is a disease characterized by the formation of paralysis, the development of which cannot be prevented.
  • Measles is a viral disease characterized by the appearance of rashes on the mucous membrane of the throat and nose. Additionally, symptoms of poisoning are observed (fever, elevated temperature).
  • Epidemic parotitis - pathology occurs in acute form, is affected nervous system And salivary glands. In boys, the lesion can spread to the testicles, which will subsequently lead to infertility.
  • Haemophilus influenzae infection is a dangerous disease; children under 1 year of age are most susceptible to infection. Manifests purulent meningitis, otitis, joint damage and of cardio-vascular system, respiratory tract pathologies (pneumonia, bronchitis) may occur.
  • Rubella - infection with the virus manifests itself as thickening lymph nodes and the appearance of a rash.
  • Flu - serious illness, is highly contagious. Characterized by defeat respiratory system, feverish condition of the patient. IN running forms leads to death.

Young parents need to take the issue of vaccinating their baby as seriously as possible.

Parents must take responsibility for their child’s health, not skip scheduled vaccinations, and understand the danger that may threaten him without vaccination. If, due to the baby’s well-being or other important circumstances, it is not possible to visit the clinic in a timely manner, then it is necessary to notify the pediatrician about this. The doctor will schedule the next immunization date.

Babies under one year old

In the first year of a baby's life, it is diagnosed a large number of important injections. Some of them are combined so that instead of several you can make one. For example, DPT is a vaccine against whooping cough, tetanus and diphtheria.

Before vaccination, you should consult a doctor; a specialist should assess the child’s well-being.

Often a medical exemption is required for an indefinite period of time, or the doctor can develop a personal vaccination schedule. The vaccination schedule with the names of vaccines for children from birth to 1 year is shown in the table:

AgeName of vaccination (more details in the article:)Vaccine usedTo whom is it given?
Newborns, children in the first days of life1 vaccination against viral hepatitis BEuvax V, Engerix VAll products are produced according to the instructions.
3 – 7 days from birthImmunization against tuberculosisBCG-m, BCGEveryone gets vaccinated. Exceptions are children whose parents have serious pathologies (for example, HIV).
1 monthVaccination 2 against viral hepatitis BEuvax V, Engerix VIt is given to all children of this age group who have received their first injections.
2 monthsImmunization 3 against viral hepatitis BEuvax V, Engerix V
3 months1 vaccination against whooping cough, diphtheria, tetanusDPT, OPVAll children of this age.
3 – 6 months1 immunization against Haemophilus influenzaeActHib, Imovax polio Infanrix,It is given to children who are at risk (oncohematological disease, HIV infection, anatomical abnormalities, weakened immunity).
4.5 months1 vaccination against polio; 2 immunization against Haemophilus influenzae, diphtheria, whooping cough, tetanus, polioDTP, OPV, Imovax polio Infanrix, ActHibIt is carried out according to the child’s age group and the sequence of vaccination.
6 monthsVaccination 3 against diphtheria, whooping cough, tetanus, viral hepatitis, Haemophilus influenzae, polioDPT, OPV, Imovax polio Infanrix, ActHib, Euvax V, Engerix VPrescribed to all patients as planned.
12 monthsVaccination against rubella, measles, mumps, 4 immunization against viral hepatitis BEuvax V, Engerix V, Priorix, ZhKV, ZhPV, RudivaxVaccination takes place according to schedule.

Live polio vaccine solution dripped into mouth

Children from one to three years old

When a child turns 1 year old, it is no longer necessary to visit the hospital every month. Parents need to follow the immunization schedule to ensure they don't miss anything. What vaccinations and how many stages of vaccination should still be available can be found out from your local pediatrician.

After two years (or a year and a half), the baby will begin to walk kindergarten, and immunization will be carried out on site at intervals of several months. Only written consent will be required from parents. The vaccination stages for children aged 1 to 3 years are listed below:

Schedule of routine vaccinations for children

Modern injection drugs are easily tolerated at any age. They help the body develop immunity against pathologies that killed thousands of people in the last century.

The vaccination plan is drawn up to ensure that the child is protected from dangerous diseases from the very first months of life. Not following it and refusing vaccination is irresponsible.

Full schedule of vaccinations for children (+ - vaccination; ++ - revaccination):

DatesTuberculosisHepatitis BHaemophilus influenzae infectionPolioWhooping cough, diphtheria, tetanus (DTP)Diphtheria, tetanus (ADS-m)MeaslesMumpsRubella
1 day +
3 – 7 day+
1 month +
2 months +
3 months + +
4, 5 months + + +
6 months + + + +
12 months + + + +
18 months ++ ++ ++
20 months +
6 years ++ ++ ++
6 – 7 years ++
7 years++
14 years ++ ++
14 – 18 years old++ ++

Revaccination


Vaccinations against some diseases require revaccination of the child at an older age.

One vaccination is not always enough to form strong immunity to infections/viruses. Often it is necessary to repeat immunization two or three times - this is called a booster vaccination. Thanks to subsequent vaccination against the same infection, the body develops immunity to its pathogen.

Until the age of 14, children undergo several stages of revaccination. List of vaccinations:

  • 6 years – measles/rubella/mumps;
  • 7 and 13 - 14 years old – diphtheria/whooping cough/tetanus;
  • 7 years – tuberculosis;
  • annual immunization against influenza.

Vaccination according to epidemic indications

Immunization by epidemic indications produced in certain regions of the country. Data on the epidemiological situation are analyzed annually, after which a list of unfavorable regions is compiled. In such areas, vaccine prevention of the following diseases is carried out:

  • brucellosis;
  • anthrax;
  • Q fever;
  • tularemia;
  • plague;
  • leptospirosis;
  • tick-borne encephalitis;
  • flu.

The vaccination calendar is a list of mandatory vaccinations, which indicates which vaccine should be administered and at what age. Currently operating in Russia Russian calendar preventive vaccinations, approved by order of the Ministry of Health of the Russian Federation No. 229 of June 27, 2001.

The national vaccination calendar provides for vaccination against the following diseases:

  • Hepatitis B is an infectious viral disease that affects the liver. May purchase chronic course with the formation of liver cirrhosis.
  • Tuberculosis - infectious bacterial disease, most often affects the lungs.
  • Poliomyelitis is an acute infectious disease of a viral nature, accompanied by the formation of irreversible paresis and paralysis.
  • Diphtheria is an acute infectious bacterial disease that affects Airways, heart, nervous system, kidneys and other organs. Before the use of the diphtheria vaccine, the disease was fatal in most cases.
  • Whooping cough is an acute infectious bacterial disease accompanied by paroxysmal cough.
  • Tetanus is an acute infectious bacterial disease characterized by damage to the central nervous system. Causes the development of convulsions and suffocation (asphyxia).
  • Measles is an acute viral disease manifested by symptoms of intoxication (fever, etc.), rash and damage to the mucous membrane of the nose and pharynx. Measles can be accompanied by severe complications.
  • Rubella - viral infection, which is characterized by the appearance of a rash and enlarged lymph nodes. Rubella is especially dangerous in the first half of pregnancy, as it can lead to miscarriage or severe fetal malformations.
  • Mumps (mumps) is an acute viral disease that affects the salivary glands and nervous system. In boys, the testicles are often involved, leading to infertility.

Russian calendar of preventive vaccinations

When using inactivated vaccines to create protective immunity One injection is not enough. Typically, a course of vaccination is required, consisting of 2-3 injections, followed by revaccination, that is, additional “feeding” of the immune system.

  • The very first vaccination is carried out when the newborn turns 12 hours. The child is vaccinated against hepatitis B.
  • C 3 By 7 day The child is vaccinated against tuberculosis with a vaccine called BCG.
  • As soon as the child turns one month(30 days), a second vaccination against hepatitis B is carried out.
  • At three months the child must be vaccinated against four diseases at once: whooping cough, diphtheria, tetanus, polio. However, in reality, he will receive only two vaccinations (or even one - “tetracocine”): the first - against diphtheria, tetanus and whooping cough (for example, with the DTP vaccine) and the second - against polio.
  • At four o'clock half a month do the same as at three.
  • At six months the same as at four and a half. In addition, they are vaccinated against hepatitis B for the third time.
  • When a child turns one year, it's time to get vaccinated against measles, rubella and mumps (one vaccine).
  • IN one and half year revaccination against whooping cough, diphtheria, tetanus is given, and the polio vaccine is also administered.
  • IN 20 months- another revaccination against polio.
  • The following vaccinations only need to be done V 6 years. The child is given another dose of vaccine against measles, rubella and mumps.
  • AT 7 years: first revaccination against tuberculosis (BCG), second revaccination against diphtheria and tetanus (DT).
  • IN 13 years Vaccinations are done selectively. If your child has not been vaccinated against hepatitis B on time, the time to do so is now. Only girls are given the rubella vaccine at age 13.
  • At 14 years- another revaccination against diphtheria and tetanus, polio, tuberculosis.
  • Adults should be revaccinated against diphtheria and tetanus every ten years from the date of the last vaccination.

What are they vaccinated with?

Immunization within the framework of the national calendar of preventive vaccinations is carried out with vaccines of domestic and foreign production, registered and authorized for use in the prescribed manner in accordance with the instructions for their use.

Elena Zhabinskaya


Today on our agenda is a very important, serious, interesting, and even somewhat dangerous topic of vaccination.

We can talk about this for a long time, but today we will not talk about whether to be or not to be (vaccination), whether it is good or bad, possible or not, etc. Today we will learn the official position of the Russian Ministry of Health on the timing of all vaccinations, how, when, where and by whom they should be administered according to the law, what rights parents and children have, and what’s new in the law.

In other words, from a legal point of view, we will study the national vaccination calendar 2018 inside and out in the table. This official document, which you can refer to in relations with any government agencies, kindergartens, hospitals on all issues regarding the timing of vaccination.

The vaccination calendar is a document that is approved by government agency(for example, the Ministry of Health of the Russian Federation), and establishes the procedure for vaccination in the country, which is guaranteed by the state and provided free of charge to all citizens.

In Russia, the vaccination calendar is contained in Appendix No. 1 to the order of the Ministry of Health of the Russian Federation dated March 21, 2014 No. 125n “On approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications.”

The specified document can be easily found online on portals legal systems, you just need to carefully check that the version of the order is current and not outdated. In my article I will, of course, use the latest version of the document and tell you about all the changes.

For clarity, let's display the data of the new vaccination calendar in a table and carefully study which preventive vaccinations according to general rule offered to adults and children in 2017.

When they putName of vaccination and vaccineA comment
Newborns within 24 hours of birthFor hepatitis B. Vaccines available: domestic, Engerix B (UK), Euvax (France), Biovac B (India).The vaccine is given to all newborns, because it is very easy to become infected with hepatitis B (more than 30% of people on Earth are infected), and the earlier you get sick, the more severe the consequences, even death due to liver failure. The vaccination is very easy to tolerate.
Newborns from 3 to 7 daysFrom tuberculosis. Usually only domestic ones are available, because they are not available for free sale and are supplied only in maternity hospitals and clinics.Placed intradermally. After about 3-4 weeks, an ulcer forms at the injection site, suppuration, and a scar remains - this is a normal reaction. This place must not be touched or processed.
Babies aged 1 monthRepeated hepatitis B. Vaccines available: domestic, Engerix B (UK), Euvax (France), Biovac B (India).It is given to all children without additional tests, is usually easily tolerated.
Babies aged 2 monthsThird time for hepatitis B (for children at risk)Children at risk are, for example, those born to mothers who are carriers of hepatitis B.
First vaccination against pneumococcal infection. The vaccine Prevenar (USA) is usually given.Protection against severe bacterial inflammation of the lungs, otitis, and sinusitis caused by the microbe pneumococcus.
Babies aged 3 monthsFirst DTP (whooping cough, diphtheria and tetanus). There is a domestic vaccine.If parents have the financial opportunity, then all five vaccinations are combined into one by administering an imported multi-component vaccine, for example, Pentaxim (France), Infanrix Hexa (Belgium). This is completely safe and very convenient, since instead of 3 or 5 injections the baby will receive only 1 These imported vaccines are of very high quality and are well tolerated.
Polio
Haemophilus influenzae infection (for children at risk)
Babies at 4.5 monthsSecond DTP (whooping cough, diphtheria and tetanus)Similarly with primary vaccination - if parents can afford to purchase a paid vaccine again, it is very good to do so.
Second vaccination against Haemophilus influenzae (for children at risk)
Repeated polio
Repeated pneumococcal infectionFor successful completion of vaccination.
Babies at 6 monthsThird DTP (whooping cough, diphtheria, and tetanus)If possible, they are combined into one imported injection as described earlier.
Third hepatitis B
Third polio
Third hemophilic infection (for children at risk)
Yearlings at 12 monthsFirst MMR (measles, rubella and mumps). There are domestic vaccines.To make it easier to tolerate the vaccine and reduce reactions, you can get the imported Priorix vaccine (Belgium, UK), which contains all three components and is quite well tolerated.
The fourth hepatitis B (for children at risk)As directed by your doctor.
Children aged 15 monthsRevaccination against pneumococcal infectionTo maintain immunity to the pathogen.
Children aged one and a half yearsFirst revaccination against polioAs directed by the doctor, a live oral vaccine (drops in the mouth) or an inactivated one (injection) is administered. Live vaccine may be more difficult to tolerate.
First DPT revaccination(whooping cough, diphtheria, tetanus)Similarly to previous administrations, these vaccines can be combined into one shot.
Revaccination against Haemophilus influenzae (for children at risk)
Children aged 20 monthsSecond revaccination against polio
Preschoolers at 6 years oldCPT revaccination (measles, rubella, mumps)To maintain immune system protection.
Schoolchildren from 6 to 7 years oldSecond revaccination with ADS (against diphtheria and tetanus). Only domestic vaccine.To maintain protection. There may be a lump at the injection site (local reaction).
Revaccination against tuberculosisIt is given to children in case of negative Mantoux tests, as directed by the doctor.
Children aged 14 yearsThird revaccination with ADS (for diphtheria and tetanus)Usually placed in the upper third of the shoulder.
Third revaccination against polioAs directed by your doctor.
Adults over 18 years of ageRevaccination against diphtheria and tetanus - carried out every 10 years from the date of each last revaccinationIf you do not remember the last time you received these vaccinations, go to your local clinic or paid medical center and get them.
Children from 1 to 18 years old, adults from 18 to 55 who have not been vaccinated beforeHepatitis BPreviously, this vaccination was not given to all children. Adults who do not have it should see their doctor for the vaccine.
The entire population is from 1 year to 18.RubellaAt risk are girls aged 18 to 25 years, as well as older ones who are still planning a pregnancy in the future. If you haven’t been vaccinated before or don’t remember exactly, you should definitely get it. If a pregnant woman contracts rubella, the risk of severe congenital deformities of the fetus is extremely high.
Children and adults up to 35 years old.MeaslesGiven the periodic outbreaks of measles throughout the country, it is extremely important to get vaccinated, even if you don’t remember exactly.
Children from 6 months and adultsFlu. Vaccines: “Grippol” (Russia), “Vaxigrip” (France), “Influvac” (Netherlands.At risk are babies (from 6 months, because maternal antibodies still protect earlier), pregnant women, pensioners, schoolchildren, students, medical workers, transport workers, housing and communal services, people with chronic diseases heart, lungs, etc. In other words, all those for whom the disease is severe form dangerous.

What vaccinations are required?

All vaccinations listed in the table are mandatory and free. This is the required minimum of vaccines that will allow you to feel relatively safe in your host country (in particular, in the Russian Federation).

You should not be careless about vaccination, because if a particular vaccination is included in the official calendar, this means that this moment Nowadays there is a danger of contracting this disease in the country. For this reason alone, the state allocates money and provides free vaccinations for children and adults.

Everyone knows that it is better to prevent a disease than to treat it later. If the risk of some kind of infection has really disappeared dangerous disease, the state would first of all cancel mass vaccination, since this would save significant funds in the budget. Therefore, if you care about the health of your children, you must understand that all vaccinations in the national vaccination calendar are mandatory.

What's new in the calendar

Since 2016, vaccination of children against pneumococcal infection has appeared on the calendar. As a rule, the vaccine is given imported vaccine"Prevenar" (made in the USA). This drug will protect the baby from a number of dangerous microorganisms that cause purulent inflammation lungs, otitis and sinusitis.

Where to get vaccinated

You can give your child vaccinations in the nursery or adult clinic at the place of residence or place of stay. In this case, you need to take your personal compulsory medical insurance policy and sign up for the procedure in advance.

You can also get this service for a fee in a commercial medical center at your own discretion. In this case, it will be enough to register in advance convenient time and don't forget to take money with you.

In both cases, you and your baby should be examined by a doctor before the injection to make sure you or your baby are healthy.

If your child missed a vaccination: what to do?

National vaccination calendar- This perfect plan vaccination to which we should strive.

However, if for some reason vaccination was not started on time, or was interrupted, or something was missed or done at the wrong time, it is not “lost” and there is no need to start all over again. The main rule in this case sounds like this.

Regardless of how much time has passed, missing vaccine doses must be administered on schedule. In this case, it is necessary to comply with the minimum possible intervals between drug doses.

As a rule, even with breaks for illness and vacation, the child manages to complete the main vaccination before the age of 3.

Who is at risk in the vaccination schedule

In the calendars of 2016, 2017 and earlier there is the concept of risk groups:

  • these are people who are at high risk of getting sick because they have a risk of contact with a carrier or source of infection;
  • These are people for whom a particular disease poses the greatest threat due to the characteristics of their health.

For example, a newborn born in a family where one of the family members has tuberculosis is at risk for this disease.

A newborn from a mother with hepatitis B is at risk for hepatitis B.

All boys are at risk for mumps(as it can lead to infertility).

Pensioners, young children, pregnant women, and asthma patients are at risk for influenza, because it can be especially severe for them.

Travelers at risk for hepatitis A, etc.

See also a lot useful information about the vaccination calendar in a video with the famous children's pediatrician Dr. Komarovsky.

How should vaccinations be given?

According to the Mindrav order, a child or adult must be examined by a doctor before the procedure.

After this, the injection site is treated with an alcohol solution and an injection is given.

For children under one year of age, the injection is given in the thigh. Never in the buttock, as there is a risk of damage to the sciatic nerve!

For children over one year old and adults, the injection is usually placed in the thigh or upper third of the shoulder.

It is possible to administer several vaccines at the same time. In this case, they are placed in different parts of the body.

Strive to ensure that your child grows up healthy and receives all necessary vaccinations on time. national calendar 2018 in the table. But if he suddenly missed something or delivered it at the wrong time, don’t worry. Just supply everything you need as soon as the opportunity arises.

In order to somehow please the little one after a painful injection, and also not to discourage him from going to the doctor next time, it is wise to immediately after unpleasant procedure give the baby something nice, for example, a toy. Thus, as psychologists say, we replace unpleasant associations and memories with pleasant ones. This will allow us in the future, if not to endure the next vaccination without a single squeak, then at least not to resist it too much.

It is convenient to have several small toys hidden at home for various sudden occasions (vaccination, going to the dentist, etc.). And you can buy them without leaving your home in a trusted place - an online store with everything at competitive prices, for every taste. Enjoy your health and take care of yourself!

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    Comments to the article: 27

    Very useful article. mature age I only got vaccinated against tetanus. I need to see a therapist.

    11:07 | 04/18/2017 Reply

    Nowadays, many parents refuse vaccinations, not thinking about what this could mean for them. to your own child and the children who surround him. I believe that vaccinations are necessary.

    11:11 | 04/18/2017 Reply

    Yes, opinions about vaccinations are very different. We did all the vaccinations for our daughter, but half of them didn’t have for our son, and they remained unfilled... But now it’s booming, many people are refusing vaccinations, so that got me thinking...

    11:14 | 04/21/2017 Reply

    Those who refuse vaccinations, as a rule, never regret their choice. But among the parents who vaccinate their children, there are very, very many who regret it! Unfortunately, complications after vaccinations far outweigh the real benefits of them. Not a single vaccine protects against the disease, whooping cough affects both vaccinated and unvaccinated people equally seriously, you can talk a lot about polio and not in favor of vaccination, but I will say one thing that now only vaccine-associated polio occurs, that is, the one that occurs after OPV. Regarding tetanus, you have some kind of horror stories, in the sandbox you can get tetanus through a scratch, don’t tell me, this is complete nonsense! Tetanus can be contracted mainly through deep puncture wound, also when bitten by animals and after serious injury, incl. burns and frostbite, BUT after such injuries, both vaccinated and unvaccinated are given tetanus toxoid! So don't scare people with your fairy tales! Every parent, before making a choice regarding vaccinations, must know the whole truth, and often local pediatricians do not tell this truth about vaccination, because they do not want to lose part of their salary...

    11:30 | 04/24/2017 Reply

    • Irina, there are few stories online from parents who did not vaccinate their children and deeply regretted it. Do you know in what situations such enlightenment comes? When an eight-month-old baby is in intensive care and his lungs are intubated because he cannot breathe (whooping cough attacks in children under one year of age can lead to respiratory arrest).

      Naturally, the mothers of such children do not scream at every corner about what happened, but remain silent because they understand that with their stupidity they almost killed the child. But those few who have the courage and spirit to admit their mistakes write about it (and such stories can be found on the Internet).

      The fact that vaccinated and unvaccinated people get sick equally is an obvious and absolute lie, like all your other statements. About the fact that there is no polio - tell this to the residents of Ukraine, who six months ago vaccinated everyone en masse due to the epidemic. As for tetanus - open school textbook and read that the bacterium lives in the ground, soil, soil, sand. Believe me, she won’t care how deep your wound is. Do you remember yourself as a child? After every wound in the yard, did you inject yourself with tetanus toxoid? Are you even sure that your clinic has it? What if the child gets injured far away in the village with his grandmother? Will you be able to diagnose it in time and get it to the city?

      Do you want to risk your health? own child, taking away his right to be protected from diseases leading to death and disability - please (I really sympathize with him). Write your refusals and be satisfied. But there is no need to drag young and inexperienced mothers into the pit with you, clogging their heads with pseudo-scientific nonsense turned upside down.

      P.S. I'm just amazed by these anti-vaxxers! Everything is fine with them, the diseases have disappeared, there are no complications. And the fact that tuberculosis clinics in every city and all countries of the world spend billions on vaccines is just them, playing with toys. Everyone is a fool, we alone are the smartest. How simple everything is in this airy pink world!

      14:40 | 04/24/2017 Reply

      • I personally know people vaccinated against whooping cough who suffered from it, just like those who were not vaccinated, and for just as long, and I also know that some children suffered from whooping cough immediately after receiving the live DTP vaccine!

        Do you even know what vaccine-associated polio is? This is the one that affects children whose immunity has failed to cope with the live polio vaccine.

        In 2015, there were only two countries where the polio virus was circulating: Afghanistan and Pakistan. It was discovered in Ukraine, but it is not wild, but vaccine-associated. By the way, after that incident in Ukraine, many countries, but not Russia, abandoned live polio vaccine. Read the story, not the headlines, before jumping to conclusions! And regarding tetanus, do you naively believe that you can get infected through a scratch or abrasion? Funny! Yes, and I know where the tetanus bacillus lives, I also know, unlike you, that the bacterium itself is not terrible, what is scary is the tetanus toxin, which is formed only in deep wounds, judging by your knowledge, you only read a school biology textbook)) )And also, I wrote above that in case of serious injuries, tetanus toxoid is injected even to vaccinated people! Read more carefully. And they made fun of tuberculosis dispensaries in general, the fact of the matter is that almost everyone gets BCG, but for some reason it doesn’t help, have you ever wondered why?

        P.S. Of course, to vaccinate or not to vaccinate is a voluntary matter, I don’t force it on anyone, people just need to know the two sides of the coin, they need to know the truth, but everything is so wonderful with you, vaccinations will protect you from epidemics, and there will be no complications, blah blah blah! Don’t fool inexperienced mothers into thinking, otherwise this is some kind of unhealthy propaganda!

        18:53 | 04/24/2017 Reply

        • Irina, I know that the methods of opponents of vaccination are to create fog, throw loud phrases and intimidate. So let's get to the facts.

          1. Your statement about whooping cough does not inspire confidence in me, but raises many questions. Who diagnosed the children you are talking about with whooping cough (mom, neighbor, friend, pediatrician)? On what basis was this diagnosis made (guesswork, examination, laboratory research)? How were the children you are talking about treated? What I mean is that some parents and cheap snot manage to lead to pneumonia, perhaps that was the case here?

          2. Regarding the situation in Ukraine, again, we take not rumors and speculation, but data from the website of the World Health Organization, contained in a statement dated September 1, 2015. And what do we see there? “In Ukraine, 2 cases of infection with circulating vaccine-derived poliovirus type 1 (cVDPV1) with the onset of paralysis were confirmed on June 30 and July 7, 2015. Both cases occurred in the Transcarpathian region in southwestern Ukraine, bordering Romania, Hungary, Slovakia and Poland. At the time of the onset of paralysis, one child was 4 years old, and the second was 10 months old.” And these are only cases confirmed and officially recorded. In fact, there are many more sick people and carriers of the virus. Thus, there is polio in Ukraine.

          3. Where does vaccine-associated polio come from? Let’s go again not to the neighbors’ bench, and not to the forums where only anti-vaxxers sit, but to the website of the World Health Organization. Online Q&A, October 2015: “Oral polio vaccine (OPV) contains a weakened vaccine virus that activates the body's immune response. After a child is given OPV, the weakened vaccine virus multiplies in the child's intestines for a limited period of time, which helps develop immunity through the production of antibodies. During this time, the vaccine virus is eliminated from the body. In areas with poor sanitation, such a cleared vaccine virus may spread through the immediate community before finally dying out (and may provide protection to other children through “passive” immunization). In rare cases, when the level of immunization of the population is extremely low, the vaccine virus removed from the body may continue to circulate for an extended period of time. The longer the virus lives, the more genetic changes occur in it. In very rare cases, the vaccine virus can genetically change into a form that can cause paralysis. This form is known as circulating vaccine-derived poliovirus (cVDPV). Circulating VDPV occurs when routine immunization or supplementary immunization activities (SIAs) are not administered appropriately and the population remains susceptible to poliovirus, either vaccine-derived virus or wild poliovirus. Therefore, the problem is not only the vaccine, but also the low level of vaccination coverage. If the population is fully immunized, people will be protected from both the vaccine-derived virus and wild polioviruses. Since 2000, nearly 3 billion children have received more than 10 billion doses of OPV. As a result, more than 13 million cases of polio were prevented and the incidence dropped by 99%. During this time, 24 cVDPV outbreaks occurred in 21 countries, resulting in 760 cases of VDPV.” Do you feel the difference? 3,000,000,000,000 of those who were saved from the disease versus 760 cases of the disease IN UNVACCINATED people, which even arose why? Because there is no required vaccination coverage among the population, and this allows the virus to circulate!

          4. Thus, vaccine-associated polio is “not polio from a vaccine,” as you say, but polio in an unvaccinated child, caught by him from environment, which got there from the secretions of a child vaccinated with OPV. Vaccinated children do not develop vaccine-associated polio!

          5. To exclude any complications, polio vaccination begins with inactivated vaccine, and only then do OPV. In this case, the risks of any reactions are minimal.

          6. Tetanus. Again the WHO website: “Tetanus is non-communicable disease, transmitted by contact with spores of the bacteria Clostridium tetani, which exist throughout the world in soil and intestinal tract animals and can contaminate many surfaces and substances. As a result of the ubiquity of the bacteria that causes tetanus, the disease cannot be eradicated. Neurotoxins released under anaerobic conditions in wounds contaminated with bacterial spores lead to tetanus.” Not a word about stabs deep wounds. Any contaminated wound puts the child at risk of tetanus. And personally, this doesn’t seem funny to me, because we are talking about my child’s life.

          7. The BCG vaccine, unfortunately, only protects against the most severe and fatal diseases. dangerous forms diseases: for example, tuberculous meningitis and bone tuberculosis. It's a shame, but another one hasn't been invented yet. Considering how many tuberculosis patients we have in our country, including those with open forms (and you can get infected anywhere - in an elevator, trolleybus, etc.), protecting a child from those forms that are not curable is vital.

          P.S. Vaccination has its own problems that need to be solved: improving the quality of vaccines, reducing their reactogenicity, competent preparation for child vaccinations (by the way, I have such an article). Everything is not great here, and vaccination is the lesser of two evils compared to diseases. But this is a necessary evil; calling not to vaccinate means calling to risk the lives and health of children (with a much higher probability than from vaccinations), contrary to generally accepted standards evidence-based medicine and the position of the World Health Organization.

          10:34 | 04/25/2017 Reply

    And vaccinating children against chickenpox and flu is a big deal! it would be funny if it weren't so sad)

    20:11 | 04/24/2017 Reply

    Hah... they deleted my comment, there’s nothing to say)))

    08:49 | 04/25/2017 Reply

    Do you only take information from the World Health Organization website? And do you naively believe? Do you know that billions are made from vaccinations and the treatment of complications after vaccination? And do you think that the truth will be written on the WHO website?

    Moreover, on the WHO website it is written that OPV is absolutely safe, but this is not true at all! And there are a lot of such lies on this site!

    You claim that vaccinated children do not develop vaccine-associated polio! Certainly! Tell this to the parents of children who became disabled after this vaccine. Yes, and in Ukraine there were isolated cases of polio, but not wild, but vaccine-associated, which was again due to vaccination! And after that, many countries abandoned OPV, but the WHO website states that this vaccine is safe!

    About tetanus, can you think logically?) The toxin develops in anaerobic conditions, i.e. without oxygen, which means the wound must be deep! But definitely not abrasions and scratches, as you wrote above) And why are vaccinated people also injected with toxoid in case of serious injuries? Is the vaccine supposed to protect?)

    Unfortunately BCG vaccine is effective in only 50% of children!

    In general, many doctors, including pediatric oncologists, are against vaccination and associate autoimmune diseases and oncology with vaccinations!

    And yet, there are a lot of infectious diseases, and worse than those for which they are vaccinated, I wonder what they write about this on the WHO website)

    06:04 | 04/26/2017 Reply

In families with children, parents want to protect them from all sorts of dangers, such as viral diseases. For disease prevention modern medicine offers to vaccinate children. A large number of disputes often arise around this issue. We suggest you study the pros and cons of vaccination and familiarize yourself with the vaccination calendar.

The main thing in the article

Vaccination of children in Russia: pros and cons

"Behind"

  • Immunity against diseases is developed. Vaccination is considered the most the right way protection against infectious diseases. Vaccination does not guarantee that the child will not get sick infectious disease. But after vaccination, the disease will be mild. There is a high probability that it will not fatal outcome and complications.
  • The composition is not so scary. Yes, harmful compounds are present in vaccines, but this dose is not enough to specifically harm the child.

"Against"

  • Complications after vaccinations. They appear mainly in children with recent illnesses, or in the presence of chronic ones, for example, blood diseases, neoplasms. Most severe complications: anaphylactic shock, convulsions, serous meningitis, paralysis
  • General decrease in immunity. When a foreign protein is introduced into the body, its protection is reduced. While the body fights a small dose of the introduced disease, the immune system becomes very weak, which is fraught with new diseases.
  • Composition of vaccines. The vaccine contains substances that act as an antiseptic or preservative. Often there are not very present useful compounds: phenol, thiomersal (mercury compound), formaldehyde. Some of the substances are toxic, cause allergies, oncology, genetic abnormalities, and lead to nervous system failure.

National vaccination calendar for children from birth to 1 year for 2018: schedule in table

Each country has its own vaccination calendar. It is compiled on the basis of diseases from which it is necessary to protect the population; the calendar includes the age of the population, vaccination and the name of the vaccines.

Official vaccination calendar for children in Russia under 3 years of age: schedule in table 2018

Unlike the vaccination calendars of America and Europe, the official vaccination calendar of Russia does not include mandatory vaccinations against:

  • rotavirus (quite common in kindergarten),
  • chicken pox,
  • there is no revaccination against whooping cough,
  • there is no vaccination against hepatitis A,
  • For Hib infections, vaccination is required in risk groups.

Russian vaccination calendar for children under 14 years of age: schedule in table 2018

Most vaccinations occur between birth and one and a half years. Vaccination is less often required for school-age children and adolescents.

List of mandatory vaccinations for kindergarten in 2018 in the Russian Federation

Vaccinations without which they may not be accepted into kindergarten in 2018:

  • BCG (against tuberculosis)
  • to hepatitis B
  • You need to have 3 DPT vaccinations
  • There must be protection against polio
  • Vaccination against MMR (measles, mumps, rubella)

List of mandatory vaccinations for schools in 2018 in the Russian Federation

  1. The child must be vaccinated against tuberculosis, have a vaccination from hepatitis B.
  2. Also, the medical card must contain a record of vaccination against polio and rubella, mumps, measles.
  3. Schools are required to be vaccinated against diphtheria, whooping cough and tetanus.
  4. If desired, you can get vaccinated against hemophilia and chickenpox, but vaccination against these viral diseases is not compulsory for admission to school.

Calendar of preventive vaccinations for children

The calendar is approved by the Ministry of Health of the Russian Federation. You can get information about the dates and ages of your child suitable for vaccination from your pediatrician or immunologist. There are legal regulations regarding vaccination determined by the Ministry of Health:

  • Vaccination should be carried out in those medical organizations who are authorized for the relevant types of procedures. These can be either public hospitals or private clinics.
  • U medical worker there must also be permission to carry out vaccination.
  • The drug used for vaccination must be officially registered in the country.
  • Parents may refuse vaccination, but full responsibility lies with possible complications after an illness that a child may one day contract falls on them.
  • The doctor must tell you about possible side effects vaccinations and the consequences of refusing vaccination.
  • Before vaccination, the pediatrician is required to examine the child.
  • The period between the administration of vaccines should be at least a month.
  • It happens that people are vaccinated with two different vaccines on the same day. In this case, the vaccine is given in different areas body, a new syringe is used for each.

Vaccination calendar for children in Kazakhstan in 2018

In Kazakhstan, all mandatory vaccinations approved by the calendar are given free of charge. For vaccination, it is allowed to use domestic and foreign drugs. The main condition is that the drug must be registered and have a certificate.

Vaccination calendar for children in Ukraine in 2018

Compared to the previous vaccination calendar, the new one includes vaccination against hemophilus influenzae. This vaccine is included in most vaccination schedules. European countries. Revaccination of rubella for girls and mumps for boys at the age of fifteen has been cancelled. According to the vaccination calendar, it is recommended to use the acellular DTP vaccine (Infanrix, Pentaxim). It is well tolerated and has a lower percentage side effects and post-vaccination consequences.

Video: Vaccinations for children

To protect a child from diseases and develop immunity, vaccinations alone are not enough. Healthy image life, quality food, physical exercise, lack of storage harmful substances in the apartment and house, clean Fresh air will strengthen immune system your child. Whether to vaccinate or not is up to you. Approach this issue with all responsibility, because the baby’s life is in your hands.